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14-15758
Zephyrhills
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Building Department
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2014
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14-15758
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Last modified
8/27/2015 1:58:46 PM
Creation date
8/27/2015 1:58:46 PM
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Building Department
Company Name
ZEPHYR RIDGE
Building Department - Doc Type
Permit
Permit #
14-15758
Building Department - Name
JENSEN,TODD & KIMBERLY T &
Address
6130 RIDGEWAY DR
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813-780-0020 City of Zephyr �IIIS P@�fTllt ApPI1C8tlOfl . Fax-813-780-0021 <br /> Build ng Department <br /> Date Received Phone Contact or Permitting -- <br /> Owrner's fName �/ G,� v �,J��S U,�`� Otnrner F'hone tduenber <br /> O�rner's e�lddress �o/�� ✓�/!���l✓ff� Ouvxner F'hone Idumber <br /> Fee Simple Titieholder Mame Ow►ner Phone iduPnber <br /> Fee Simple Titieholder Address , - <br /> .D�e ADDRESS lo l3 U 2/U�i ��� LOY# � <br /> �dl'3DB'd!5!C[d Z�J°/�,��'/L/�'./(���� PARC LID# � <br /> (09TAIMED FROM PROPERTY TAX MOTICE) <br /> HHOEtl�F'ROPOSED NEW CONSTR ADD/AI T � SIGN Q Q DEMOUSH <br /> � INSTALL B REPAI y <br /> �EtOPOSED U�E Q SFR Q COM� 0 OTHER ' • <br /> �PE OF COMSTRUC'TIOId Q BLOCK Q FR/`,M � STEEL Q • <br /> . <br /> ID�SCRIPTIOM OF MIOEZK � ` �.l'.�f i�� ���G 0 <br /> ISUILID9�G SIZE SQ EOOTAGE / �� HEIGHT � ( <br /> �BUILDING $��U � `� � VALUATIO OF TOTAL CONSTRUCTIOfV <br /> DELECTRICAL $ AMP SER ICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION ��� <br /> ��� <br /> OGAS Q ROOFIfVG Q SPEC ALTY 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> IBUI�DIER / l ` C IlAPAR1Y �G' � ����� GCl � �/--✓ C� <br /> �IGMATURE —° !�J � R GISTERED Y/ I� FEE CURRE� Y/(� <br /> �4ddress License# <br /> IELECTitICIAfd C flflP�LIVY <br /> SIGtdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> llddress License# <br /> PLUAfl�EFF C RftPAtdV <br /> SIGidATURE R GISTERED Y I P�l FEE CURRE� Y/IV <br /> Address License# <br /> MIECFINfdICAL OAAPAidY <br /> $ICaPt��iTURE R GISTERED Y/ fV FEE CURRE� Y/M <br /> Address License# <br /> o����a o��e�bv <br /> SIGMd�TURE EGISTERED Y/ N FEE CURRE� Y/IJ <br /> 64ddress License# <br /> RESIDIEfd'TIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facliities 8�1 dumpster;Site Work Permit fo subdivfsions/iarge projects <br /> COilARAERCIAL Attach(3)complete sets of Building Plans plus a Lif Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constn�ction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo ali new projects.All commercial requirements must meet compliance <br /> SeG6d PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW cons i uction. <br /> Directtons: <br /> Fill out application completely. <br /> Ovuner�,Contractor sign back of application,notarized <br /> Iff over Sa500,a�dotice of Commencement is required. (AIC u grades over�7500) -• _. - , <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same <br /> ONER THE COUfdYER PERMIITTIMG (Front of Application Only) - , � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(Plot/Survey/Footage) �� � , <br /> D�iveways-Not over Counter if on public roadways..needs ROW <br /> � <br />
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